Shavon Davis, NP
Individual provider Active NPI Family Nurse Practitioner · Chicago, IL
NPI 1992479042 · NPPES record last updated Aug 4, 2026
Key facts
- NPI
- 1992479042
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 277005792 (IL)
- Practice address
- 2231 E 95TH St
Chicago, IL 60617-4804 - Phone
- (773) 768-7700
- Fax
- (773) 273-8915
- NPI assigned
- Aug 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Illinois Urgent Care Professionals PLLC
PMR Illinois Holding LLC
Practice addresses (Care Compare)
17960 Halsted St
Homewood, IL 60430-2014
Phone (708) 922-0911
2231 E 95TH St
Chicago, IL 60617-4804
Phone (773) 768-7700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210907002429 | IN | Practitioner - Nurse Practitioner | 6709282387 | Reassigns benefits to 1 organization |
| I20241120003412 | IL | Practitioner - Nurse Practitioner | 6709282387 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jencare Neighborhood Medical Center South Chicago, LLC | Current |
Accepting new patients | |
| PMR Illinois Holding, LLC | Current |
Accepting new patients | |
| Illinois Urgent Care Professionals PLLC | Current |
Accepting new patients | |
| Community Health Providers PLLC | Past |
Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
10834B S Doty Ave
Chicago, IL 60628
Phone (773) 995-9911
2231 E 95th St
Chicago, IL 60617
Phone (773) 768-7700
2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700
7444 W Wilson Ave
Ste 102
Harwood Hts, IL 60706
Phone 2249996997101
17960 Halsted St
Homewood, IL 60430
Phone (708) 923-0911
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 277005792 | IL | Yes |
Addresses
Primary practice location
2231 E 95TH St
Chicago, IL 60617-4804
Mailing address
2231 E 95TH St
Chicago, IL 60617-4804
Phone (773) 768-7700
Other providers in Chicago, IL
- Richla Davis
- Robin Davis
- Sarah Davis
- Shane Maxwell Davis
- Shari M Davis
- Tameka Davis
- Tekira Davis
- Tenika Davis
- Teresa E Davis
- Terri Davis
All providers in Chicago, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.